The Pediatric Catheterization Laboratory at Children’s Hospital of New York-Presbyterian performs procedures in pediatric and adult patients with congenital heart disease. It is currently covered by 3 full-time cardiologists each of whom perform ~250 procedures/year and cover 24/7 call. Three additional part-time cardiologists perform ~300 biopsies/pulmonary hypertension procedures per year.
The total number of procedures performed has increased from 1160 in 2013 to a predicted of around 1240 cases in 2018. Most of the increment has been due to the number of procedures performed in adult patients with congenital heart disease which has increased from 15 and 16 cases in 2012 and 2013 respectively to >50 cases in 2016 and 2017.
Until 2015, all procedures for pediatric and adult patients, were performed in the two pediatric cath lab suites in CHONY. Since 2016, after renovation of room H in the adult catheterization laboratory, all procedures in adult patients have been performed in Milstein. As a consequence, the three full time interventional cardiologists have been covering 3 catheterization laboratories (2 in CHONY, 1 in Milstein). However, due to inpatient service requirement, vacation, and conference time, in 33 out of the 52 weeks per year there are only 2 interventional attendings available to perform procedures. Coverage has been increasingly challenging and has resulted in significant scheduling delays (particularly among adult patients) not only due to the increasing number of procedures but also because many of the high complexity procedures require the presence of two fully-trained interventional attendings. Additionally, we have recently launched a fetal interventional program and started to close patent ductus arteriosus (PDA) in premature newborns, the only center in New York City performing these two procedures. We are expecting the number of referrals to grow in the near future as the programs consolidate. In addition, our department, along with the Congenital Cardiothoracic Division are invested in creating a Center for Lymphatic Imaging and Interventions, a new area in interventional cardiology that provides care for children and adults with lymphatic leaks and lymphatic flow disorders. This field has enormous potential as few centers in the US perform this type of procedures.
We are in need of a 4th, full time pediatric interventional cardiologist to continue to grow our practice and be able to materialize the new projects. The successful candidate will have completed a 4th year of subspecialty training in interventional cardiology. Their role will include performing diagnostic and interventional cardiac catheterization procedures for children and adults with congenital heart disease. In addition, the candidate will possess experience and help expand our use of 3-dimensional images from rotational angiography for cardiac anatomic delineation during heart catheterizations. Clinical research and quality improvement interests will be encouraged and the faculty member will participate in the education of medical students, house staff, and fellows.
Internal Number: 0000881
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